Bernard, Rene L

Bernard, Rene L is an sole proprietor health care provider with primary practice located at 104 E Market St , Mc Leansboro IL 62859-1317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bernard, Rene L can be contacted via phone (618) 643-3051.

Contact Information

Primary practice address
104 E Market St Mc Leansboro IL 62859-1317
Phone: (618) 643-3051
Fax: (618) 643-3164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20900237 Illinois

Profile Details

NPI number 1568446805
LBN Legal business name Bernard, Rene L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated Jun 11th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568446805 NPPES
Illinois Other 788058 HEALTHLINK #
Illinois Other 1174669568 HEALTHLINK #
Illinois Other P00425296 HEALTHLINK #
Illinois Other DG2570 HEALTHLINK #
Illinois Other 03332007 HEALTHLINK #
Illinois Other Q24440 HEALTHLINK #

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